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1952637886
DANIEL CRAIG KAVANAUGH
NORMAN, OK
NPI
1952637886
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK 203)
Enumeration Date
2009-10-28
Last Update Date
2009-10-28
Business Address
Mr. DANIEL CRAIG KAVANAUGH CADC
900 E MAIN ST
NORMAN, OK 73071-5305
Phone number: 405-573-6624
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Mailing Address
Mr. DANIEL CRAIG KAVANAUGH CADC
2445 NW 32ND ST
OKLAHOMA CITY, OK 73112-7819
Phone number: 405-948-6980
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